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儿童心脏手术后的体外膜氧化:一个单中心的经验
Edin Botan1, Ayşe Durak Aslan1, Emrah Gün1
1Division of Pediatric Intensive Care, Department of Pediatrics, Ankara University School of Medicine, Ankara, Türkiye.
Turkish archives of pediatrics
|August 14, 2024
概括
身体外膜氧化 (ECMO) 为心脏手术后的儿童提供了关键的心肺支持. 这项研究发现50%的生存率,高风险得分预测结果和神经复杂症是常见的.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心胸外科手术 心胸外科手术
- 密集护理医学 密集护理医学
背景情况:
- 身体外膜氧化 (ECMO) 是可逆心肺衰竭的重要生命支持.
- 当传统疗法失败时,儿童心脏手术患者通常需要先进的支持.
研究的目的:
- 评估中心的经验和接受ECMO心脏外科手术后儿科患者的结果.
- 在这个患者队列中确定死亡率和并发症的预测因素.
主要方法:
- 从2014年11月到2021年3月,在儿科重症监护室 (PICU) 进行的回顾性研究.
- 包括24名接受心脏手术后ECMO的儿科患者.
- 分析患者人口统计,手术程序,ECMO指示,持续时间和并发症.
主要成果:
- 在324次儿科心脏手术中,ECMO被用于7.4%的病例.
- 低心力输出综合征 (LCOS) 是主要的适应症 (58.3%).
- 生存率为50% (12/24),较高的PRISM III和ECMO前VIS得分预测死亡率.
- 50%的患者出现神经并发症,与ECMO前的乳酸和pH水平有关.
结论:
- 对于小儿心脏手术患者,特别是LCOS患者来说,ECMO至关重要.
- 高的PRISM III和VIS分数是不利结果的重要预测指标.
- 神经学并发症需要对ECMO患者进行仔细的监测和管理.
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